Capstone Quiz 1 Questions and Answers

Capstone Quiz 1 Questions and Answers a nurse is providing discharge teaching to a client who has a prescription for home O2, which info should the nurse teach? wear cotton socks when the O2 is in use (other fabrics cause static) A nurse is teaching a client about the correct use of a cane. Which of the following instruction should the nurse include in the teaching? (Selected all that apply) a) Ensure the cane has a rubber cap. b) Hold the cane on the weaker side. c) Flex the elbow slightly when using the cane. d) Move the cane and stronger leg forward simultaneously e) Use a quad cane for increased support a. ensure the cane has a rubber cap c. flex the elbow slightly when using the cane e. use a quad cane for increased support A nurse is planning to administer several medications to a client through a nasogastric (NG) tube. Which of the following actions should the nurse take? a) Mix the medications together and administer through the NG tube . b) Crush the sublingual medication into powder form c) Dissolve crushed tablet medications in sterile water. d) Flush the tube with 5 ml saline between each medication c. dissolve crushed tablet meds in sterile water (in 15-30mL sterile water) a nurse is in an ED monitoring the hydration status of a client receiving oral rehydration, what should the intervene for? heart rate 120/min (initiate IV fluid replacement) a nurse is documenting client care, which of the following entries should the nurse identify as an example of implementation of client care? "Contacted the provider to report client findings." "Reports stomach pain as 3 on a pain scale of 0 to 10." "Vomited 120 mL of clear, yellow emesis." "Denies further nausea or vomiting since antiemetic administration." contacted the provider to report client findings a nurse is caring for a client who has prescription for terazosin, the nurse should identify that this medication is indicated for which of the following disorders? hypertension, BPH a nurse is planning a staff education session on AE of meds, what info should the nurse discuss about anticholinergic AE? blurred vision tachycardia constipation Can't see, can't breath (HR inc), Can't poop a nurse is reviewing the medical record of a client who received his medications 1 hour ago, the pt reports chest pain, this can be an AE of what med? albuterol (beta-2-agonist, controls bronchospasm for asthma--can cause tremors, chest pain, tachycardia, dysrhythmias) a nurse is caring for a female client who has osteoporosis and a new prescription for raloxifene, what should the nurse assess prior to initiating therapy? pregnancy status (risk category X) a nurse is providing teaching to a client who has a neuropathic pain and a new prescription for amitriptyline once per day, what should the nurse include? increase fluids while on this med (urine turns blue/green, sedation is an AE) a nurse is providing teaching to a client who has a new prescription for oxybutynin, what statements by the client indicates an understanding of the teaching? I need to avoid jogging on warm days (suppression of sweating by the anticholinergic effects by oxybutynin can result in hyperthermia) Bladder relaxant It can treat overactive bladder. a nurse is caring for a client who has recurrent lower UTIs which of the following meds should the nurse expect to administer? nitrofuratoin ab for lower recurrent UTIs a nurse is teaching a pt who is starting subq leuprolide for treatment of prostate cancer. what info should the nurse include? increase calcium intake (can cause bone loss) a nurse is teaching the partner of a pt who has DM how to manage episodes of sever hypoglycemia, when the pt is unresponsive, what action should the nurse instruct the pt to do first? administer glucagon IM to the client a nurse is caring for a female client who has a new prescription for alosetron, what therapeutic effects should the nurse expect in this pt? a decrease in the frequency of defecation a nurse is providing teaching to a client who has T2D, and is starting to take immediate release exenatide, what statement is an understanding of the teaching I will take this med 1 hour before morning and evening meals A nurse is teaching a client who has a new diagnosis of polycystic kidney disease. Which of the following statements should the nurse include in the teaching? Take aspirin as needed to reduce your pain." "Reduce your dietary beer intake." "Apply dry heat to your abdomen when needed." "Check your weight once per week." Apply dry heat to your abdomen when needed. A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings indicates the client might be experiencing a hemolytic transfusion reaction? Hypertension Report of urticarial Distended neck veins Report of chest pain Report of chest pain A nurse is caring for an adult client who asks about vaccinations against communicable diseases. The nurse should inform the client that which of the following vaccines are available? (Select all that apply) Hepatitis A vaccine Hepatitis B vaccine Pneumococcal vaccine Hepatitis C vaccine Helicobacter pylori vaccine Hepatitis A vaccine Hepatitis B vaccine Pneumococcal vaccine A nurse is assessing a client who has a mild traumatic brain injury. The nurse should report which of the following findings as a complication of this injury? (Select all that apply.) Bradycardia Vomiting Drainage from the ear Unequal pupils Pruritus Vomiting Drainage from the ear Unequal pupil A nurse is reviewing laboratory values for a client who has Cushing's disease. Which of the following values should the nurse expect? Blood glucose 65 mg/dL • Serum calcium 12.2 mg/dL Potassium 5 mEq/L Sodium 150 mEq/L Sodium 150 mEq/L A nurse is caring for a client who has a cervical spinal cord injury. Which of the following interventions should the nurse include in the plan of care to prevent autonomic dyslexia? Monitor bowel movement regularity. Use a fan to promote air circulation in the client's room Tuck the top bedsheet tightly around the client's torso. Monitor for cerebrospinal fluid leakage Monitor bowel movement regularity. A nurse is caring for a client who has renal calculi. Which of the following prescriptions by the provider is the priority action for the nurse to take? Strain all urine. Schedule a retrograde pyelography. Monitor intake and output. Schedule a kidney ultrasound. Monitor intake and output. A nurse is providing teaching for a client who has Parkinson's disease and a new prescription for selegiline. Which of the following statements should the nurse include? "You might experience joint pain while taking this medication." "The medication cannot be combined with other antiparkinsonian agents." "Avoid eating aged cheeses or smoked meats while taking this medication." "It will take up to 2 weeks for the medication to work." Avoid eating aged cheeses or smoked meats while taking this medication. A nurse is creating a plan of care for a client who has meningitis. Which of the following interventions should the nurse include? initiate contact isolation precautions. Keep the client's environment dark and quiet. Restrict the client's fluid intake. Perform neurovascular assessments once a day. Initiate contact isolation precautions. A nurse is a caring for client who is postoperative following a below-the- knee amputation. Which of the following actions should the nurse take? Maintain a loose bandage on the residual limb. Turn the client from side to side once every 4 hr. Request a soft mattress for the client. Place the client prone for 20 min every 3 hr. Place the client prone for 20 min every 3 hr.